Provider Demographics
NPI:1912667882
Name:HAZEL, CATHERINE CHOI (ASW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:CHOI
Last Name:HAZEL
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:MS
Other - First Name:KATIE
Other - Middle Name:CHOI
Other - Last Name:HAZEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ASW
Mailing Address - Street 1:680 MISSION ST APT 34C
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-4043
Mailing Address - Country:US
Mailing Address - Phone:919-457-8641
Mailing Address - Fax:
Practice Address - Street 1:680 MISSION ST APT 34C
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-4043
Practice Address - Country:US
Practice Address - Phone:919-457-8641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1015841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical